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Telehealth Reimbursement

Ga. Payer Pushes Telehealth to Replace Unnecessary ER Visits

June 8, 2017 - A Georgia insurer is taking strong steps to promote telehealth as a replacement for most emergency room visits. Starting in July, Blue Cross Blue Shield of Georgia will stop reimbursing for ER visits deemed to be unnecessary. The payer is recommending that its members use BCBSGa’s LiveHealth Online telehealth service, or visit the nearest urgent care or retail health clinic. "The...


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VT Legislature Approves Telemedicine Reimbursement Bill

by Thomas Beaton

UPDATE: Govenor Phil Scott (R.) signed S.50 into law, requiring insurance companies to pay providers the same rates for telemedicine usage as an in-person visit. The bill goes into effect on October 1, 2017.  Legislation that has...

EHR Integration, Analytics Lead Hospitals to Enterprise Telehealth

by Thomas Beaton

Telehealth and telemedicine for many hospitals is moving from a departmental approach to a more centralized method that allows hospitals to capitalize on EHR integration and analytics-driven decision making. A new report from REACH Health found...

Examining the State of Medicaid Telehealth Reimbursement

by Thomas Beaton

The majority of the United States offers Medicaid reimbursement for telehealth and related services, but reimbursement rules within each state can vary significantly, according to the Center for Connected Health Policy (CCHP).   CCHP's...

Providers Must Negotiate Telehealth Reimbursement With Payers

by Eric Wicklund

Healthcare providers looking to launch a new telemedicine or mHealth program may find an unexpected ally in commercial health plans. While only 31 states and the District of Colombia mandate that private payers cover telehealth visits as they...

GAO Report: Telehealth Troubles Tied to Reimbursement Barriers

by Eric Wicklund

Healthcare providers aren’t embracing telehealth and remote patient monitoring because they aren’t being reimbursed for those services, according to a new report from the U.S. Government Accountability Office. The GAO report, issued...

Bill Seeks Medicare Reimbursement for New Telehealth Programs

by Eric Wicklund

Congress will revisit a bill that seeks to expand telehealth across the nation by improving Medicare reimbursements. Sens. Cory Gardner (R-Colo.) and Gary Peters (D-Mich.) have re-introduced the Telehealth Innovation and Improvement Act, after...

North Carolina lawmakers eye telemedicine payment parity

by Eric Wicklund

Lawmakers in North Carolina – a state with a long track record of telemedicine and mHealth innovation – are poised to debate a bill that would establish reimbursement parity for payers. H.B. 283 would mandate that health plans cover...

Telehealth: A Vital Tool in the Home Healthcare Space

by Eric Wicklund

A North Carolina-based health system is one of several using telehealth to improve its home healthcare services – a critical move in light of expected cuts in home health reimbursements from Medicare. FirstHealth of the Carolinas, a five-hospital...

ATA Sees Telemedicine Momentum in New Report Cards

by Eric Wicklund

The latest report cards from the American Telemedicine Association show an upswing in support for telemedicine across the country, with a few bumps in the road. The ATA’s reports – one focused on coverage and reimbursement and the...

WEDI Brief Outlines Challenges to Telehealth Reimbursement

by Eric Wicklund

Healthcare providers face many challenges in launching and sustaining a telehealth program – including finding the right CPT codes, if they exist, for reimbursement. In many cases, a telehealth or telemedicine procedure is so new, a proper...

Nebraska lawmakers eye telehealth parity, interstate licensure

by Eric Wicklund

Telehealth parity and interstate licensure are on the agenda in Nebraska, as state officials look to combat healthcare access problems in this decidedly rural state. Lawmakers have announced two separate bills that aim to make telehealth easier...

CMS Urged to Reimburse Telehealth for Stroke, Cardiac Care

by Eric Wicklund

The American Heart Association is calling on Medicare to support telehealth, saying the technology is “tragically underutilized” to treat stroke patients and those with heart disease and could save the country billions of dollars...

21st Century Cures Act to Boost Medicare Telehealth Use

by Jacqueline Belliveau

The 21st Century Cures Act, enacted earlier this week, may have been a win for drug approval process reform and additional scientific research funding advocates. But the legislation may also help to increase Medicare telehealth use, stated URAC...

Organization Vows to Tackle mHealth’s Murky Meanings

by Eric Wicklund

The organization that recently defined “store-and-forward” telehealth says this is the first salvo in an ongoing battle to make the industry meaningful. The healthcare landscape is littered with outdated or vague words and phrases,...

Strong Patient Demand for Telehealth Motivated by Convenience

by Jennifer Bresnick

The convenience factor is a major driver for patients investigating the use of telehealth to consult with their providers, according to a survey by the American Telemedicine Association and WEGO Health.  The poll of 429 patients, conducted...

ATA: Payment Reform Tops the List of Telemedicine Trends

by Eric Wicklund

New payment models are the top priority in telemedicine these days – and they’ll be the linchpin in the healthcare industry’s move to value-based care. That’s the viewpoint of the American Telemedicine Association, which...

New Report Charts Slow Progress for Telehealth Reimbursement

by Eric Wicklund

Telehealth is slowly becoming an accepted means of delivering healthcare, according to the latest state-by-state analysis of the Center for Connected Health Policy. An update of the CCHP’s fourth annual report, issued in March, finds that...

Survey: No Reimbursement, No Telehealth

by Eric Wicklund

Primary care physicians aren’t using telehealth because they aren’t reimbursed for it. That’s the gist of a survey of about 550 family physicians, conducted in 2014, which found doctors staying away from the technology because...

Using mHealth to Transition to Value-Based Care

by Eric Wicklund

North Carolina’s largest federally qualified health center is turning to mHealth to help patients manage their chronic conditions. By deploying Smartlink’s platform, officials at Goshen Medical Center also expect to align the clinic...

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